Autoimmune disease flare management and corticosteroid patient teaching priorities for the bedside nurse.
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- What is an autoimmune disease flare?
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A sudden, temporary worsening of disease signs and symptoms after a period of low activity or remission.- What common illness event can trigger an autoimmune disease flare?
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An infection.- In lupus, what environmental exposure commonly triggers a flare?
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Ultraviolet (UV) light/sun exposure.- What psychological or physical factor commonly triggers an autoimmune flare?
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Stress, either physical or emotional.- What are the classic signs of a rheumatoid arthritis joint flare?
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Joint swelling, warmth, tenderness, and redness.- In rheumatoid arthritis, morning joint stiffness lasting longer than ____ suggests active disease.
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30 minutes- During an autoimmune flare, what is the nurse's priority assessment focus?
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Pain level and joint or functional status.- Why can corticosteroids delay recognition of infection during a flare?
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They suppress the inflammatory response and can mask classic signs like fever.- What is a priority nursing concern for a patient on immunosuppressive therapy during a flare?
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Increased risk of infection.- What joint protection technique should be taught during a rheumatoid arthritis flare?
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Use larger, stronger joints and assistive devices instead of smaller joints for tasks.- How should activity be balanced during an autoimmune flare?
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Combine rest with gentle range-of-motion activity; prolonged bed rest is avoided to prevent contractures.- What should be monitored to detect lupus nephritis during a flare?
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Urine output and proteinuria or hematuria.- The classic butterfly-shaped facial rash seen during a lupus flare is called a ____.
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malar rash- What is a hallmark sign of a multiple sclerosis relapse?
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A new or worsening neurologic symptom, such as vision changes or limb weakness.- In scleroderma, what should patients avoid to prevent triggering Raynaud's phenomenon?
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Cold temperature exposure.
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